서울지역 노인복지회관 이용 노인의 주관적 구강증상과 주관적 구강건강상태와의 관련성

Abstract

Objectives: The purpose of this study was to evaluate the relationship between perceived oral symptoms(P0S) and perceived oral health(P0H) status among the elderly in Seoul. Methods: All 443 subjects aged 60 or more in 6 welfare institutions selected using cluster sampling were surveyed cross-sectionally the self-reporting questionnaire. All 443 subjects provided written informed consents of the Seoul National University Dental Hospital Institutional Review Boards. The questionnaires consisted of POH(a dependent variable) and 8 POS(main explanatory variables) and socio-economic characteristics and perceived general health, smoking and drinking(conf0unding variables). For crude relationships, bivariate analysis such as chi-square, ANOVA, correlation analysis were used. For adjusted relationships, multivariate linear regression analysis were applied. Results: Sixty percent of the elderly perceived oral health that their was poor or very poor. Trouble bitinglchewing, periodontal status and toothache were significantly associated with POH. Trouble bitinglchewing showed the highest impact of association with POH(β= 0.3). Conclusions: POS such as trouble bitinglchewing, periodontal status and toothache had clear relationships with POH on the elderly. Oral health promotion in the elderly in welfare institutions in seoul should be focused on trouble bitingichewing, periodontal disease and dental caries with priority.